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題名:重病中斷母職角色的家庭護理經驗
書刊名:長庚護理
作者:歐羽珊康豑云蔣立琦
作者(外文):Ou, Yu-shanKang, Chih-yunChiang, Li-chi
出版日期:2015
卷期:26:3=91
頁次:頁316-326
主題關鍵詞:母職中斷家庭護理MotherhoodInterruptionHome caring
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:57
  • 點閱點閱:18
本文敘述一位47歲母親因罹患瀰漫性泛細支氣管炎,需長期依賴呼吸器而中斷母職角色的家庭護理經驗,筆者照護期間為2012年11月6日至11月22日,運用Friedman、Bowden和Jones(2003)家庭評估模式(Family Assessment Model)經由直接照護、觀察、會談收集家庭基本資料、家庭發展階段及任務、家庭環境、家庭結構、家庭功能及家庭壓力因應方式,歸納分析案家有「家庭運作過程改變」,個案有「母職角色扮演改變」、「低效性呼吸型態」等問題。筆者透過直接照護、傾聽、持續關懷陪伴、教導肺部運動、安排家庭會談、建立家庭溝通橋樑、聯絡社工協助辦理相關補助,協助個案維持最關心的母職角色功能,促進母女情感交流,並藉由持續母職的意志力增加個案克服疾病的困難,也鼓勵個案家人間互相表達情感,強化家庭內在溝通、關懷功能,整合家庭內、外資源因應家庭成員生病,協助家庭發揮潛能維持家庭功能。
This article described the nursing experience of caring a motherhood-disrupted 47-year-old patient who suffered from diffusive panbronchiolitis and had to rely on an respirator to breath normally. She was taken care by the author from November 6th to 22nd, 2011. By using the Friedman Family Assessment Model, the author was able to collect basic information of the family, for instance: stages and mission of the family development; the environment; family structure; family function and pressure due to patient's illness. After classifying and analyzing the collected, we revealed that not only the family had undergone family process changes but also the patient herself had experienced changes: her motherhood was interrupted and she suffered from ineffective breathing pattern. By direct- caring, listening, accompany, teaching the patient breathing exercises, arranging family meetings, bridging family communication, and seeking financial supports through social workers, the author was able to assist the patient continuing her motherhood as well as improving her relationship with her daughter. Besides that, helping the patient to continue her motherhood was considered as another method to boost the patient's willingness to fight against the disease. Moreover, the author not only encouraged the patient and her family members expressing their feelings toward each other in order to strengthen their family communication and caring function, but also kept her family functioned normally by integrating the exterior and interior resources of the family to deal with the incident.
期刊論文
1.Wilson, S.(2007)。'When you have children, you're obliged to live': Motherhood, chronic illness and biographical disruption。Sociology of Health & Illness,29(4),610-626。  new window
2.方素瓔(20010800)。家庭壓力模式在內外科病房之應用。護理雜誌,48(4),78-84。new window  延伸查詢new window
3.曾若琦、謝文斌(20050800)。瀰漫性泛細支氣管炎之診斷與治療。當代醫學,32(8)=382,614-620。  延伸查詢new window
4.廖俊正、涂川洲、李祥煒、陳順天(20060900)。瀰漫性泛細支氣管炎:病例報告及文獻回顧。臺灣家庭醫學雜誌,16(3),204-213。  延伸查詢new window
5.Davies, B.、Allen, D.(2007)。Integrating 'mental illness' and 'motherhood': the positive use of surveillance by health professionals. A qualitative study。International Journal of Nursing Studies,44(3),365-376。  new window
6.Fobair, P. A.、Zabora, J. R.(1995)。Family functioning as a resource variable in psychosocial cancer research: Issues and measures。Journal of Psychosocial Oncology,13(1/2),97-114。  new window
7.Hodovanic, B. H.、Reardon, D.、Reese, W.、Hedges, B.(1984)。Family crisis intervention program in the medical intensive care unit。Heart & Lung,13(3),243-249。  new window
8.Kirkley, D.(2000)。Is motherhood good for women? A feminist exploration。Journal of Obstetric, Gynecologic, & Neonatal Nursing,29(5),459-464。  new window
9.Krishnan, P.、Thachil, R.、Gillego, V.(2002)。Diffuse panbronchiolitis: a treatable sinobronchial disease in need of recognition in the United States。Chest,121(2),659-661。  new window
10.Kudoh, S.(2004)。Applying lessons learned in the treatment of diffuse panbronchiolitis to other chronic inflammatory diseases。The American Journal of Medicine,117(9A),12S-19S。  new window
11.Kudoh, S.、Keicho, N.(2012)。Diffuse panbronchiolitis。Clinics in Chest Medicine,33(2),297-305。  new window
12.Vallido, T.、Wilkes, L.、Carter, B.、Jackson, D.(2010)。Mothering disrupted by illness: a narrative synthesis of qualitative research。Journal of Advanced Nursing,66(7),1435-1445。  new window
13.邱艷芬(20061000)。胸腹手術後病人的肺部復健。護理雜誌,53(5),5-12。new window  延伸查詢new window
14.潘淑滿(20051200)。臺灣母職圖像。女學學誌:婦女與性別研究,20,41-90。new window  延伸查詢new window
學位論文
1.林韋君(2010)。呼吸訓練對慢性阻塞性肺疾病患者肺功能、活動耐受度及生活品質之影響(碩士論文)。中山醫學大學。  延伸查詢new window
2.Jackson, D.(2000)。Understanding women's health through Australian women's writings: A feminist exploration(博士論文)。The Flinders University,South Australia。  new window
3.王如雁(2007)。生不生有關係:一位中年頂客族婦女的生命敘說(碩士論文)。南華大學。  延伸查詢new window
4.莊永佳(1999)。台灣女性之母職實踐(碩士論文)。南華管理學院。  延伸查詢new window
圖書
1.Friedman, M. R.、Bowden, V. R.、Jones, E.(2003)。Family nursing: Research, theory, & practice。Upper Saddle River, NJ:Prentice Hall。  new window
2.Jaggar, Alison M.(1983)。Feminist Politics and Human Nature。Rowman & Littlefield Publishers。  new window
3.Hays, Sharon(1996)。The cultural contradictions of motherhood。Yale University Press。  new window
圖書論文
1.Kaakinen, J. R.、Hanson, S. M. H.、Denbam, S. A.(2010)。Family health care nursing: An introduction。Family health care nursing: Theory, practice and research。Philadelphia:F. A. Davis Company。  new window
2.Walzer, S.(2007)。Motherhood。Blackwell encyclopedia of sociology。  new window
 
 
 
 
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